Individual
DR. IMANUEL BABAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 EAST AVE STE 3H1, NORWALK, CT 06851-5721
(718) 666-6664
Mailing address
148 EAST AVE STE 3H1, NORWALK, CT 06851-5721
(718) 666-6664
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
010626
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0570451
NY
Other
Enumeration date
06/30/2011
Last updated
10/08/2019
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